中华精神科杂志
中華精神科雜誌
중화정신과잡지
CHINESE JOURNA OF PSYCHIATRY
2011年
1期
27-31
,共5页
刘婉婷%况利%黎雪梅%陈建梅%艾明%李大奇%高新学%赵正中%楼丹丹
劉婉婷%況利%黎雪梅%陳建梅%艾明%李大奇%高新學%趙正中%樓丹丹
류완정%황리%려설매%진건매%애명%리대기%고신학%조정중%루단단
自然灾害%应激障碍,创伤后%心理测定学%症状自评量表
自然災害%應激障礙,創傷後%心理測定學%癥狀自評量錶
자연재해%응격장애,창상후%심리측정학%증상자평량표
Natural disasters%Stress disorders,post-traumatic%Psychometrics%Symptom checklist ( SCL-90 )
目的 调查地震后被转移伤员创伤后应激障碍(PTSD)的发生及其心理健康状况.方法 采用PTSD症状自评和诊断工具及症状自评量表(SCL-90),在地震后40 d对354例被转移伤员的PTSD的发生和心理健康状况进行评估.结果 (1)地震后40 d,有82例(23.2%)伤员发生PTSD,女性55例(55/200,27.5%),男性27例(27/154,17.5%),女性发生率高于男性,差异有统计学意义(P＜0.05);在不符合PTSD诊断的伤员中,199例(199/249,79.9%)存在再体验症状,164例(164/249,65.9%)存在麻木或回避症状,208例(208/249,83.5%)存在过度唤起症状.(2)PTSD患者的SCL-90总分(209.00±68.78)分、强迫症状因子(2.38±0.61)分、人际关系敏感因子(2.18±0.87)分、抑郁因子(2.50±0.86)分、焦虑因子(2.42±0.90)分、敌对因子(2.47±0.87)分,高于非PTSD患者[(153.08±5.63)分、(1.71±0.64)分、(1.50±0.60)分、(1.71±0.69)分、(1.70±0.76)分、(1.66±0.73)分;P＜0.05,P＜0.01].(3)地震后被转移伤员的SCL-90总分、躯体化、强迫症状、抑郁、焦虑、敌对、恐怖、偏执、精神病性和其他因子得分高于全国常模组(P＜0.05,P＜0.01).结论 地震后部分被转移伤员出现PTSD,相当多的伤员遭受了不同程度的心理影响,应予以长期关注.
目的 調查地震後被轉移傷員創傷後應激障礙(PTSD)的髮生及其心理健康狀況.方法 採用PTSD癥狀自評和診斷工具及癥狀自評量錶(SCL-90),在地震後40 d對354例被轉移傷員的PTSD的髮生和心理健康狀況進行評估.結果 (1)地震後40 d,有82例(23.2%)傷員髮生PTSD,女性55例(55/200,27.5%),男性27例(27/154,17.5%),女性髮生率高于男性,差異有統計學意義(P＜0.05);在不符閤PTSD診斷的傷員中,199例(199/249,79.9%)存在再體驗癥狀,164例(164/249,65.9%)存在痳木或迴避癥狀,208例(208/249,83.5%)存在過度喚起癥狀.(2)PTSD患者的SCL-90總分(209.00±68.78)分、彊迫癥狀因子(2.38±0.61)分、人際關繫敏感因子(2.18±0.87)分、抑鬱因子(2.50±0.86)分、焦慮因子(2.42±0.90)分、敵對因子(2.47±0.87)分,高于非PTSD患者[(153.08±5.63)分、(1.71±0.64)分、(1.50±0.60)分、(1.71±0.69)分、(1.70±0.76)分、(1.66±0.73)分;P＜0.05,P＜0.01].(3)地震後被轉移傷員的SCL-90總分、軀體化、彊迫癥狀、抑鬱、焦慮、敵對、恐怖、偏執、精神病性和其他因子得分高于全國常模組(P＜0.05,P＜0.01).結論 地震後部分被轉移傷員齣現PTSD,相噹多的傷員遭受瞭不同程度的心理影響,應予以長期關註.
목적 조사지진후피전이상원창상후응격장애(PTSD)적발생급기심리건강상황.방법 채용PTSD증상자평화진단공구급증상자평량표(SCL-90),재지진후40 d대354례피전이상원적PTSD적발생화심리건강상황진행평고.결과 (1)지진후40 d,유82례(23.2%)상원발생PTSD,녀성55례(55/200,27.5%),남성27례(27/154,17.5%),녀성발생솔고우남성,차이유통계학의의(P＜0.05);재불부합PTSD진단적상원중,199례(199/249,79.9%)존재재체험증상,164례(164/249,65.9%)존재마목혹회피증상,208례(208/249,83.5%)존재과도환기증상.(2)PTSD환자적SCL-90총분(209.00±68.78)분、강박증상인자(2.38±0.61)분、인제관계민감인자(2.18±0.87)분、억욱인자(2.50±0.86)분、초필인자(2.42±0.90)분、활대인자(2.47±0.87)분,고우비PTSD환자[(153.08±5.63)분、(1.71±0.64)분、(1.50±0.60)분、(1.71±0.69)분、(1.70±0.76)분、(1.66±0.73)분;P＜0.05,P＜0.01].(3)지진후피전이상원적SCL-90총분、구체화、강박증상、억욱、초필、활대、공포、편집、정신병성화기타인자득분고우전국상모조(P＜0.05,P＜0.01).결론 지진후부분피전이상원출현PTSD,상당다적상원조수료불동정도적심리영향,응여이장기관주.
Objective To investigate the incidence of post traumatic stress disorder ( PTSD ) and mental status in the transferred wounded after Wenchuan earthquake. Methods At the 40th day after earthquake, 354 wounded were evaluated by the PTSD Symptoms Self Rating Scale, and Symptom Checklist 90 ( SCL-90 ). The diagnosis of PTSD was made according to DSM-Ⅳ criteria. Results After 40 days, 82( 23.2% )suffered PTSD in these wounded, including 55 females( 55/200,27.5% ) and 27 males( 27/154,17. 5% ), the rate in women was significantly higher than that in men. In those non-PTSD wounded, 199patients 199/249,79.9% ) had re-experienced symptoms, 164 patients( 164/249,65.9% ) had numbness/escaping symptoms, 208 patients( 208/249,83.5% ) had excessive arousing symptoms. The SCL-90 total score( 209.00 ±68.78 ), obsession( 2. 38 ± 0. 61 ), human relation sensitivity( 2. 18 ± 0. 87 ), depression ( 2. 50 ±0. 86 ), anxiety( 2.42 ± 0. 90 ) and hostility factor( 2.47 ± 0. 87 ) score of the PTSD were higher than those of the non-PTSD[( 153.08 ± 5.63 ),( 1.71 ± 0. 64 ),( 1. 50 ± 0. 60 ),( 1.71 ± 0. 69 ),( 1.70 ±0. 76 ),( 1.66 ±0. 73 );P ＜0. 05 -0. 01] . The SCL-90 total score and somatization, obsession, depression,anxiety, hostility, phobia, crankiness, psychosis and the other factor score of the wounded were higher than those of the national norm group( P ＜ 0. 05 - 0. 01 ). Conclusion Considerable number of the transferred wounded existed PTSD symptoms in experienced earthquake disaster, they need to be intervened for a long period.
